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The cognitive exam apply for a cognitive exam the national registry paramedic nrp cognitive exam is a computer adaptive test catthe number of items a candidate can expect on the nrp exam will range from 80 to 150. Recertification by traditional model the traditional paramedic recertification program requires a total of 72 hours of continuing education to recertify this model includes a refresher course and continuing education. Nremt emt paramedic exam study guide with information and advise on taking and passing the emt national registry exam